DEMAND FOR RENT --- FIVE-DAY NOTICE TO: YOU ARE HEREBY NOTIFIED, That there is now due the undersigned the sum of Dollars as rent for the premises known and described as follows, to wit: situated in the State of Illinois. AND YOU ARE FURTHER NOTIFIED, That payment of said sum so due is hereby demanded of you, and that unless payment thereof is made on or before the expiration of five days after date of service of this notice, your lease of said premises will be terminated. is hereby authorized to receive said rent so due me. Dated at , A.D. 200___. Landlord By AFFIDAVIT OF SERVICE -- When served by a person not an officer. STATE OF ILLINOIS, COUNTY OF ) )ss. ) day of , Agent. this day of of , County of Madison, and being duly sworn, on oath deposes and says that on the A.D. 200___. He served the within notice: (a) By delivering a copy thereof to the within-named . (b) By leaving a copy of the same with a person above the age of 12 years, residing on, or in possession of the within-described premises. (c) By posting a copy of same on the premises, no person being in actual possession thereof. Subscribed and Sworn to before me this _____ day of , 200___ Notary Public Note: Strike out (a), (b) or (c) in accordance with the facts of service. _____ Original to Court Copy to Tenant 2002 © American LegalNet, Inc.